Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $96.28 / $239.38	Professional		$55.12	$96.28	$239.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $72.72	Professional		$57.26	$57.26	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $83.88 / $145.63	Professional		$52.61	$83.88	$145.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $119.94 / $223.18	Professional		$88.57	$119.94	$223.18
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $96.24 / $177.13	Professional		$73.81	$96.24	$177.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $70.03 / $112.73	Professional		$59.86	$70.03	$112.73